Prescription

We offer you a comprehensive benefits program to help you and your family protect your health and financial security. Your benefits are a valuable part of your compensation; we encourage you to learn how your plans work so you can get the most from them.

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Prescription Drugs

Prescription (Rx) Plan Design

Members enrolled in any medical plan will have their pharmacy benefits provided through Express Scripts (ESI) and will get a separate ID card from ESI to use for prescription drug claims. Search for your medications at express-scripts.com.

The same copays apply to each Medical Plan.

Prescription Drug Summary Plan Description

RETAIL (31-DAY SUPPLY)


Tier 1 - Generic

$0

Tier 2 - Preferred Brand

$40

Tier 3 - Non-Preferred Brand

$75

MAIL ORDER (90-DAY SUPPLY)


Tier 1 - Generic

$0

Tier 2 - Preferred Brand

$80

Tier 3 - Non-Preferred Brand

$150

Generic Drugs


Generic substitution is required at retail and for home delivery under both plans. If you choose a brand-name prescription drug, you pay the difference in cost between the name brand and generic drug.

Remember to always ask your doctor if a generic alternative is available.

Responsible Quantity


This program encourages the appropriate, safe and cost-effective use of medication by setting a maximum quantity per month for a medication or supply. The quantity limitations are based on the Food and Drug Administration guidelines and the manufacturer’s dosing recommendations.

If for medical reasons you require a quantity outside the limits, your physician can submit an exception request to Express Scripts (ESI).

Maintenance Drugs


A maintenance drug is a medication that is prescribed to take on a regular basis. With Express Scripts, you can have your medication mailed directly to your home while saving money for a 90-day supply.

Contact the provider of these benefits by calling this phone number or visiting this website: 800-282-2881, express-scripts.com/jpoffhit

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This Digital Benefits Guide is intended to highlight available benefits and should not be relied upon to fully determine coverage. The benefits plan may not cover all health care expenses. More complete descriptions of benefits and the terms under which they are provided are contained in the Certificate of Coverage that you will receive upon request. If this Digital Benefits Guide conflicts in any way with the policy issued by the employer, the policy shall prevail.